Central Serous Chorioretinopathy rare but typical changes Dr Edi Ladavac Department of Ophthalmology General Hospital, Pula.

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Presentation transcript:

Central Serous Chorioretinopathy rare but typical changes Dr Edi Ladavac Department of Ophthalmology General Hospital, Pula

Classical pattern Age ( years old) Predominatly male Localization (one eye) FAG (pinpoint laekege, blister formation) Treatment (corticosteroids!!!?????) Natural course (visual prognosis)

CSC

ICGA indocyanine green angiography Choroidal circulation Hyperfluorescence in the early phase ( hot spot ). Hypofluorescence in the late phase “occult” PED Changes in the normal retina and in other eye

ICGA

New clinical picture PED Diffuse RPEpitheliopathy Lesions in the both eyes Chronic course

PED

Diffuse RPEpitheliopathy

Changes in the both eyes

Chronic changes

Central serous chorioretinopathy Age ( years old) Localization (both eyes) FAG (pinpoint or diffuse decompensation of RPE + PED) Treatment (NO corticosteroids) Natural course (acute and chronic disease)